Farxiga Side Effects: Yeast infections, UTIs and more

Farxiga, also known by its generic name dapagliflozin, is a medication commonly prescribed to manage type 2 diabetes. 

While it can be effective in helping to control blood sugar levels, like many medications, it can come with its share of side effects. 

Find out the various side effects associated with Farxiga, their frequency, and how to manage or prevent them. 

It’s important to note that not everyone will experience these side effects, and their severity can vary from person to person.

Farxiga (Dapagliflozin) Common Side Effects

Like many medications, Farxiga also comes with its set of potential side effects. It’s essential to understand these common side effects, their frequency, and how to handle them to ensure a safe and effective treatment experience. 

Urinary Tract Infections (UTIs)

Urinary tract infections are one of the more frequent side effects of Farxiga. Symptoms may include: 

  • burning sensation while urinating
  • frequent urination
  • discomfort in the lower abdomen. 

To reduce the risk of UTIs when taking Farxiga, it’s essential to stay well-hydrated, practice good hygiene, and promptly address any symptoms.

Genital Yeast Infections

Farxiga can increase the risk of yeast infections in the genital area. Symptoms may include:

  • Itching
  • Redness
  • Discharge. 

To minimize the risk of yeast infections, maintaining proper hygiene and promptly treating any symptoms with over-the-counter antifungal medications can help.

Dehydration

Dehydration can occur due to increased urination caused by Farxiga. Symptoms of dehydration may include:

  • dry mouth
  • increased thirst
  • dark urine
  • dizziness

It’s crucial to drink plenty of fluids while taking Farxiga to prevent dehydration.

Hypoglycemia

Hypoglycemia, or low blood sugar, can occur when Farxiga is used in combination with other diabetes medications like insulin or sulfonylureas. It may lead to symptoms such as:

  • Sweating
  • Shakiness
  • Confusion
  • Irritability.

Monitoring blood sugar levels and adjusting medication doses under the guidance of a healthcare provider can help prevent hypoglycemia.

Dizziness

Some individuals may experience dizziness while taking Farxiga. This side effect can be managed by getting up slowly from a sitting or lying position, especially when first starting the medication.

Nausea

Nausea is a less common side effect of Farxiga. If you experience nausea while taking this medication, consider taking it with food to reduce stomach discomfort.

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Rare Side Effects of Farxiga

Ketoacidosis

Ketoacidosis is a severe but rare side effect associated with Farxiga. It can lead to high levels of blood acids called ketones, which can be life-threatening. Symptoms include:

  • excessive thirst
  • frequent urination
  • confusion
  • abdominal pain

If you experience these symptoms, seek medical attention immediately.

Kidney Problems

In some cases, Farxiga can cause kidney problems, particularly in individuals with pre-existing kidney issues. 

Regular monitoring of kidney function by a healthcare provider is essential when taking this medication.

Cardiovascular Issues

There have been reports of cardiovascular events such as heart attacks and strokes in individuals taking Farxiga. 

While the risk is relatively low, it’s essential to discuss any existing heart conditions with your healthcare provider before starting Farxiga.

Urinary Problems

Rarely, Farxiga may cause urinary problems such as difficulty emptying the bladder or urinary retention. 

If you experience any urinary issues while on this medication, consult your healthcare provider.

Do Farxiga Side Effects Go Away?

Most side effects of Farxiga are generally mild to moderate and often improve over time as your body adapts to the medication. 

However, the extent to which these side effects affect you can vary from person to person.

If you find that your side effects are severe, persistent, or concerning, it’s important to reach out to your healthcare provider promptly. 

How Long Do Farxiga’s Adverse Effects Last?

The duration of Farxiga’s side effects can vary depending on the specific side effect and its severity. 

For common side effects like urinary tract infections (UTIs) and genital yeast infections, relief is often experienced within a relatively short period—typically a few days to a couple of weeks—after starting Farxiga. 

These symptoms tend to respond well to treatment and proper hygiene practices. 

Similarly, dehydration, another common side effect, can be managed promptly by increasing fluid intake, with symptoms subsiding as your body rehydrates. 

Dizziness and nausea, if experienced when initiating Farxiga, usually diminish as your body adjusts to the medication. This adjustment period typically lasts for a few days to a week.

On the other hand, rare side effects such as ketoacidosis or kidney problems may have a more extended duration and require a different approach. Ketoacidosis, although rare, is a severe side effect that demands immediate medical attention. 

The duration of treatment and recovery from ketoacidosis can vary depending on its severity but may involve hospitalization and last for several days to weeks.  

Kidney problems, including acute kidney injury or other kidney issues, also necessitate ongoing monitoring and management, and the duration of symptoms and recovery can vary widely. 

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How to Avoid Side Effects When Taking Farxiga

Taking Farxiga to manage your type 2 diabetes can be highly beneficial, but it’s crucial to be proactive in minimizing the risk of potential side effects. 

By following these essential precautions, you can enhance the safety and effectiveness of your treatment:

Stay Hydrated

Dehydration is a common side effect of Farxiga. To counteract this, make sure you drink enough water while on Farxiga.

Proper hydration not only helps prevent dehydration but also supports overall well-being.

Practice Good Hygiene

To reduce the risk of genital yeast infections, it’s vital to maintain proper genital hygiene. Keep the genital area clean and dry, and consider wearing breathable underwear made of natural fabrics like cotton.

Take Farxiga With Food

If you experience nausea, taking the medication with a meal may help reduce stomach discomfort.

Get Up Slowly

If you feel dizzy when standing up, try rising slowly from a sitting or lying position to minimize the dizziness.

Monitor Blood Sugar

If you are using Farxiga in combination with other diabetes medications, regularly monitor your blood sugar levels as advised by your healthcare provider. 

This practice can help you prevent hypoglycemia (low blood sugar) and ensure that your diabetes is effectively managed.

Communicate with Your Healthcare Provider

Effective communication with your healthcare provider is key to a successful treatment experience. 

Keep them informed about any existing medical conditions, medications you are taking, and any concerns or side effects you may encounter while on Farxiga. 

They can provide guidance and make necessary adjustments to your treatment plan.

Follow Prescribed Dosage

It’s essential to take Farxiga exactly as prescribed by your healthcare provider. Do not alter the dosage or frequency on your own. 

Following the prescribed regimen ensures that you receive the right amount of medication to manage your diabetes effectively.

Promptly Address Symptoms

If you notice any unusual or severe symptoms while taking Farxiga, do not hesitate to seek immediate medical attention. 

Early intervention is crucial in preventing complications and ensuring your well-being.

Is Farxiga a High-Risk Medication?

Farxiga is generally considered a safe and effective medication for managing type 2 diabetes. 

However, like any medication, it carries certain risks, particularly in individuals with pre-existing medical conditions. 

Conclusion

Farxiga is a medication commonly used to manage type 2 diabetes. While it can be effective in controlling blood sugar levels, it may come with various side effects, some of which are more common than others. 

By staying informed about these potential side effects and taking preventive measures, individuals can better manage their health while on Farxiga. 

Always consult with a healthcare provider for personalized guidance and to address any concerns related to this medication.

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Sources

  1. Saeed, Mujahid A., and Parth Narendran. “Dapagliflozin for the treatment of type 2 diabetes: a review of the literature.” Drug design, development and therapy (2014): 2493-2505.
  2. Iqbal, Iqra, et al. “Dapagliflozin-induced late-onset euglycemic diabetic ketoacidosis.” Cureus 11.11 (2019).
  3. Heerspink, Hiddo JL, et al. “Dapagliflozin in patients with chronic kidney disease.” New England Journal of Medicine 383.15 (2020): 1436-1446.
  4. Wheeler, David C., et al. “Effects of dapagliflozin on major adverse kidney and cardiovascular events in patients with diabetic and non-diabetic chronic kidney disease: a prespecified analysis from the DAPA-CKD trial.” The lancet Diabetes & endocrinology 9.1 (2021): 22-31.

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